Provider Demographics
NPI:1760852198
Name:BUNCH, MITNA KRISTINE (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MITNA
Middle Name:KRISTINE
Last Name:BUNCH
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:MY
Other - Middle Name:KHA
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MITNA NGO
Mailing Address - Street 1:2201 MURPHY AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1960
Mailing Address - Country:US
Mailing Address - Phone:615-760-5231
Mailing Address - Fax:
Practice Address - Street 1:2201 MURPHY AVE STE 308
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1960
Practice Address - Country:US
Practice Address - Phone:615-760-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009767363LW0102X
TN22075363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health